FDA Adverse Event Injury Summary report: N

DA VINCI S SURGICAL SYSTEM

MDR report key: 1646669 · Received March 26, 2010

Report

Report Number
2955842-2010-00121
Event Type
Injury
Date Received
March 26, 2010
Date of Event
September 16, 2009
Report Date
February 7, 2010
Manufacturer
INTUITIVE SURGICAL, INC.
Product Code
NAY
PMA / PMN Number
K081207
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON MARCH 18, 2010, THE SURGEON REPORTED THAT THE PATIENT EXPERIENCED MOTOR WEAKNESS IN HER RIGHT HAND THAT PREVENTED HER FROM OPENING HER HAND. THE SURGEON ALSO REPORTED THAT THERE WAS NO MALFUNCTION OF THE DA VINCI S SURGICAL SYSTEM DURING THE PROCEDURE, AND THAT HE BELIEVES THE INJURY TO THE PATIENT'S RADIAL NERVE WAS DUE TO THE PATIENT'S ARM POSITIONING. IN ADDITION, THE SURGEON REPORTED THAT AFTER 3 MONTHS OF OUT-PATIENT PHYSICAL THERAPY THE PATIENT HAS FULLY RECOVERED AND SUSTAINED NO PERMANENT DAMAGE. AS OF MARCH 18, 2010, THERE HAVE BEEN NO REPORTED RECURRENCES OF THE ISSUE AT THIS HOSPITAL.

Description of Event or Problem · 1

IT WAS REPORTED THAT POST A DA VINCI S THYROIDECTOMY PROCEDURE, THE PATIENT EXPERIENCED NUMBNESS, DUE TO RADIAL NERVE DAMAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DA VINCI S SURGICAL SYSTEM ENDOSCOPIC INSTRUMENT CONTROL SYSTEM NAY INTUITIVE SURGICAL, INC. IS2000 A51.P8

Patients

Seq Age Sex Outcome Treatment
1 48 YR Other DVS INSTRUMENTS| ACCESSORIES